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DR. MICHAEL V. ELMAN M.D.
NPI 1972770998
Orthopaedic Surgery in Braintree, MA

Active since May 08, 2008PECOS EnrolledAccepts Medicare Assignment
75.76/100
CMS Quality Rating
400 WASHINGTON ST, SUITE 206, BRAINTREE, MA 02184(617) 376-5656(781) 499-5505 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael V. Elman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL V. ELMAN M.D. (NPI 1972770998) is an individual orthopaedic surgery provider in Braintree, Massachusetts, licensed in Massachusetts (235367) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Morton Hospital, and is a graduate of Boston University School Of Medicine (2002).

NPPES Registry Identity

NPI1972770998
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MICHAEL V. ELMANCredential: M.D.
Location Address400 WASHINGTON ST, SUITE 206Braintree, MA 02184
Mailing Address400 Washington St, Suite 206Braintree, MA 02184 · (617) 376-5656 · Fax (781) 499-5505
Phone(617) 376-5656
Fax(781) 499-5505
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2002
Enumeration DateMay 8, 2008
Last NPPES UpdateApril 4, 2022
NPPES CertifiedApril 4, 2022
✔ NPI 1972770998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MA · 235367
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 235367 (MA)
400 WASHINGTON ST, Braintree, MA 02184
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael V. Elman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709953532
PECOS Enrollment IDI20080922000080
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
197 services110 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services60 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
77 services47 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
63 services63 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
21 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morton Hospital

Acute Care Hospitals · Taunton, MA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number220073
Location88 Washington StreetTaunton, MA 02780 · Bristol County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02184 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality55.55
Promoting Interoperability88
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
73%1,884 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%270 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
12%776 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%828 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,829 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 551 patients
0%551 patients
Provide Patients Electronic Access to Their Health Information
31%527 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 287 patients
Patients totalRate: 0% · 287 patients
0%287 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
3 suppliers14 claims14 services$352.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA PALAIS LICSW
Social Worker (Clinical)
400 WASHINGTON ST, SUITE 303
BRAINTREE, MA 02184
Norfolk County (781) 843-3683
ELLYSON GRACE JAQUES
Case Manager/Care Coordinator
400 WASHINGTON ST
BRAINTREE, MA 02184
Norfolk County (617) 750-3228
THOMAS LAMATTINA MD
Internal Medicine (Cardiovascular Disease)
400 WASHINGTON ST, SUITE 403
BRAINTREE, MA 02184
Norfolk County (800) 927-0014
CLAIRE CASSERLY
Counselor
400 WASHINGTON ST
BRAINTREE, MA 02184
Norfolk County (781) 817-6675
SAMANTHA SMALL
Counselor (Addiction (Substance Use Disorder))
400 WASHINGTON ST
BRAINTREE, MA 02184
Norfolk County (508) 678-2833
ISSON JOSEPH MSW
Counselor
400 WASHINGTON ST
BRAINTREE, MA 02184
Norfolk County (781) 843-3683
DR. STEPHANIE MARGARET BRAUN M.D.
Dermatology (Procedural Dermatology)
400 WASHINGTON ST, SUITE 200
BRAINTREE, MA 02184
Norfolk County (781) 380-8150
YOSMER MELISSA ROJAS
Counselor
400 WASHINGTON ST, SUITE 303
BRAINTREE, MA 02184
Norfolk County (781) 843-3683

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Elman's NPI number?

The NPI number for Michael Elman is 1972770998. It was assigned to this individual provider in the NPPES registry on May 8, 2008.

Where is Michael Elman located?

Michael Elman practices at 400 Washington St Suite 206, Braintree, MA 02184. The listed phone number is (617) 376-5656.

What is Michael Elman's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Elman enrolled in Medicare?

Yes. Michael Elman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Elman accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael Elman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Elman affiliated with any hospitals?

According to CMS data, Michael Elman is affiliated with Morton Hospital.

When was this NPI record last updated?

The NPPES record for Michael Elman was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.